NPI | 1578896684 |
---|---|
Entity Type | Organization |
Authorized Contact | ARMANDO GONZALEZ Administrator 1828-684-4228 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NC MHL 045 076) |
Enumeration Date | 2009-09-09 |
Last Update Date | 2009-09-09 |